45D2149345 CLIA NUMBER - HARRIS COUNTY ESD #12 DBA CLOVERLEAF FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 45D2149345
  • Facility Name: HARRIS COUNTY ESD #12 DBA CLOVERLEAF FIRE DEPARTMENT
  • Facility Address: 911 HOLLYWOOD
    HOUSTON, TX
    ZIP 77015
  • Facility Phone: 713 453-1811
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: EDWARD RUSSELL
  • NPI Number: 1902566300
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2149345
LAB Type Ambulance
Facility Name HARRIS COUNTY ESD #12 DBA CLOVERLEAF FIRE DEPARTMENT
Street 911 HOLLYWOOD
City HOUSTON
State TX
ZIP 77015
Phone 713 453-1811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Ambulance
Lab Director EDWARD RUSSELL

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This page was last updated on: 9/29/2025